MONTELLO MANOR
NPI 1225022163
Skilled Nursing Facility in Lewiston, ME

Active since September 07, 2005CLIA 20D0089012 · Waiver
1/5
Overall Rating
540 COLLEGE ST, LEWISTON, ME 04240(207) 783-2039(207) 782-0184 Get Directions Write a Review

NPPES record last updated: August 25, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Montello Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTELLO MANOR (NPI 1225022163) is a healthcare organization registered as a skilled nursing facility in Lewiston, Maine and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kenneth Bowden, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225022163
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameROUSSEAU ENTERPRISES LLC
Location Address540 COLLEGE STLewiston, ME 04240-5228
Mailing Address540 College StLewiston, ME 04240-5228 · (207) 783-2039 · Fax (207) 782-0184
Fax(207) 782-0184
Organization SubpartNo
Authorized OfficialKenneth BowdenCeo · (207) 874-2700
Enumeration DateSeptember 7, 2005
Last NPPES UpdateAugust 25, 2015
NPI 1225022163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in ME · 1787
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 1787 (ME)
540 COLLEGE ST, Lewiston, ME 04240

Other Names 1

Doing Business AsMontello Manor

Other Identifiers 3

Medicaid111890002ME
Medicare OSCAR/certification20 5006ME
Medicare NSC0700370002ME

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D0089012

Montello Manor · Lewiston, ME
Active · expires Aug 31, 2026
CLIA Number20D0089012
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNicole S. Boutaugh
Laboratory Phone(207) 783-2039
Laboratory LocationMontello Manor540 College Street, Lewiston, ME 04240
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Montello Manor (CMS certification number 205006), from CMS Care Compare.

Montello Manor

Nursing home · Lewiston, ME
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number205006
Certified Beds37 beds34 residents per day on average
Medicare & Medicaid Participant SinceJuly 16, 1971
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
110.17
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.66 · LPN 0.59 · RN 0.76
4.01 hrs per resident per day
Weekend Nurse Staffing
3.47 hrs per resident per day
Physical Therapist Staffing
0.15 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
42.9%
Registered Nurse Turnover
42.9%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS lists this facility in its Special Focus Facility program, which identifies nursing homes with a persistent pattern of inspection issues for increased oversight.
Facility-Reported Incidents
3
Substantiated Complaints
3
Infection-Control Citations
0
Fines
1 totaling $14,517.75
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
540 COLLEGE ST
LEWISTON, ME 04240
Occupational Therapist
540 COLLEGE ST
LEWISTON, ME 04240
Occupational Therapist
540 COLLEGE ST
LEWISTON, ME 04240
Family Medicine
540 COLLEGE ST
LEWISTON, ME 04240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rousseau Enterprises LLC's NPI number?

The NPI number for Rousseau Enterprises LLC is 1225022163. It was assigned to this organization in the NPPES registry on September 7, 2005.

Where is Rousseau Enterprises LLC located?

Rousseau Enterprises LLC is located at 540 College St, Lewiston, ME 04240. The listed phone number is (207) 783-2039.

What is Rousseau Enterprises LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Rousseau Enterprises LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D0089012) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Rousseau Enterprises LLC a Medicare-certified nursing home?

Yes. Montello Manor is a Medicare-certified nursing home with 37 certified beds.

What quality rating does Rousseau Enterprises LLC have?

CMS rates Montello Manor 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Rousseau Enterprises LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Rousseau Enterprises LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rousseau Enterprises LLC was last updated on August 25, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.